05D0969838 CLIA NUMBER - HAL S SHIMAZU, MD

Laboratory Demographics

  • CLIA Code: 05D0969838
  • Facility Name: HAL S SHIMAZU, MD
  • Facility Address: 845 E CHAPMAN AVE
    ORANGE, CA
    ZIP 92866
  • Facility Phone: 714 997-2899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAL S. SHIMAZU, MD
  • NPI Number: 1073682241
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0969838
LAB Type Physician Office
Facility Name HAL S SHIMAZU, MD
Street 845 E CHAPMAN AVE
City ORANGE
State CA
ZIP 92866
Phone 714 997-2899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Physician Office
Lab Director HAL S. SHIMAZU, MD

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This page was last updated on: 9/29/2025